EDGAR M. REYNOSO VANDERHORST M.D. – NPI #1881261329
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

EDGAR REYNOSO VANDERHORST is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1881261329 to EDGAR REYNOSO VANDERHORST on June 04, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was last updated on Sep 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGAR REYNOSO VANDERHORST below.

NPI Profile for
EDGAR M. REYNOSO VANDERHORST

NPI Number
1881261329
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDGAR M. REYNOSO VANDERHORST
Credentials
M.D.
Primary location
1740 W TAYLOR ST
CHICAGO, IL 60612
Phone: (866) 600-2273 Fax:
1 Other location(s):
79-01 Broadway
Queens, NY 11373
Phone: (718) 334-4000
Mailing address
1740 W TAYLOR ST,
CHICAGO, IL 60612
Phone: (866) 600-2273 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)
IL 036170881
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.